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What Can Be Done For Bowel Clearance While Having Severe Constipation?

Posted on Tue, 20 Jun 2023

Question: im feel fucked my insides are stuck and locked up but not by my ass the nursing home checked was thinming about enima cause it puts fluid in there but I have to get ok'd on that I can get a supository but dont think that would work

Answered by Dr. Sunil (1 hour later)

Brief Answer:
Take polyethylene glyco electrolyte solution for bowel clearance.

Detailed Answer:

Hi,

About impacted stool in your rectum or severe constipation, initially take Polyethylene glycol-electrolyte solution is used to empty the colon. The medication also contains electrolytes to prevent dehydration and other serious side effects that may be caused by fluid loss as the colon is emptied. It is an osmotic laxative and will help you pass your bowel.

If it is still not cleared, digital manual evacuation of bowel should be done by nursing staff.

After that -

- Please start taking Syp. Lactulose 10-15 ml once daily at night time(laxative).
- Psyllium husk(natural fiber) should be taken 2 tsf once daily soak in half a cup of lukewarm water.It increases the bulk of stool, lubricates stool and helps in the formation of well-formed stools
- Try to increase your daily fiber intake gradually. maintain it at 25-30 grams/day.
- Take probiotic supplements they are good bacteria and will improve digestion.
- Keep your fiber intake at about 25-30 gram daily.
- Take 1 cup of fruits like orange banana pears that is enough to meet your extra fiber requirement.
- Take lots of curd and probiotic rich food.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sunil
Gastroenterologist

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sunil (11 hours later)

Well I'm getting lactulose at every meal yesterday didn't eat anything ,7pm got suppository at end of shift I pooped she said alot that was 10:30 i'm still blown up and hurting stayed up at night couldnt sleep comfortably feel asleep at before 3am woke at 5am got shot of delaudid went back to sleep have a hard time drinking water 1/3 of mouthful now bloated again,this is hurting when I take a deep breath has been all night. nobody tried to get a hold of my DR yet with what you wrote down,we'll see how he accepts this,would have sent this in the early hrs but this is affecting my thought,so added to it.question that polyethalene stuff how big is a issue so can you take it in parts?

Answered by Dr. Sunil (13 hours later)

Brief Answer:
Severe constipation causing impaction of bowel.

Detailed Answer:

Hello,

When you have severe constipation, your feces can dry out and get stuck. Fecal impaction occurs when a hard, dry plug of stool becomes stuck in the rectum and cannot be passed. People with severe, long-term constipation may eventually develop a fecal impaction.

As lactulose is not helping you much you should take polyethylene glycol. Pour the powder into 4 to 8 ounces of a cold or hot beverage such as water, juice, soda, coffee, or tea. Stir this mixture and drink it right away you can sip it slowly also as per your convenience (available as trade name Miralax). It will clear up your bowel with in 12 hours.

Hope I have answered your query. Let me know if I can assist you further.

Thanks.

Regards,
Dr. Sunil
Gastroenterologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Sunil (16 hours later)

God I hope so, we have miralax, the last 24hrs yesterday pooped alot in the morning today not so much.Last night puked up yellow shit assuming acids, Today I had some chicken noodle soup,My left side behind my stomach has made thumping noises thinking my insides are doing,feeling like throwing up did it once last nite today no been sitting up today best I can.The hospital takes me in does a catscan puts me in room and signs me out,still feeling like shit. Thats why I'm talking to you I'm severly cramping around my abdomen,sides right and left sides what can I do for that anything here that would work sorta fast like with in hrs, right now the air aint going in here so uncomfortable,and my pressure ulser is hurting, I just rolled and fully as long as that fart was it should have moved 3ft. put in for the med nurse and miralax hope to he from you soon

Answered by Dr. Sunil (12 hours later)

Brief Answer:
Follow up answer.

Detailed Answer:

Hi,

Severe cramping can also be because of some ongoing infection in gut.Infection leads to inflammation of intestines.This inflammation causes cramping pain in intestinal tract.As pain is associated with vomiting it could be due tyo severe gastritis also.
For pressure ulcers on foot you must be on a number of medications.Most of the antibiotics and analgesics causes severe gastric irritation leading to formation of large amount of acid in stomach causing dyspepsia vomiting and pain.

There can be two situations overlapping each other one is constipation and the other one is gastritis and dyspepsia.
Please enumerate the medicines you are on right now their frequencies and from how many days are you taking them.

Why are the doctors not giving you Miralax?
What did reports of CT says?
Revert soon.

Thanks.

Regards,
Dr. Sunil
Gastroenterologist

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Sunil (7 hours later)

Well made it through the night,took miralax as you suggested fell asleep at 1 or two got woke for shot at 3am slept till 6 shit water cause I didn't eat, the bubbling on the left side of the body quit, thinking the miralax worked it magic I'm laying here right now at 11am. The Stomach muscles are still painfully tight from yacking
Thinking what to try for food I am hungry but timid I was thinking lettuce with dressing enough to make it take it's course.I hope I'm not taking a risk.You have been a miracle for me, I will use in the future,you have been great if I could get my stomach muscles to relax now,this coughing is killing me ! I made it lts see how this day turns out started out good,best I've felt in a while had coffee,a little yogurt,told them lettuce and thousand Is. dressing

Answered by Dr. Sunil (35 minutes later)

Brief Answer:
Follow up.

Detailed Answer:

Hi,

It is good to hear that you felt better after taking Miralax. Yes, you can take it as and when required.

For pain in abdominal muscle take a antispasmodic like Dicyclomine in combination with anti inflammatory like Mephanimic acid.

Don't forget to take Omeprazole along with it.
For food take anything light and easily digestible like oats boiled vegetables.

Regarding cough is it dry or is it productive?

Hope I have answered your query. Thanks and keep me informed.

Regards,
Dr. Sunil
Gastroenterologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Sunil (25 hours later)

Well felt better for 2 days now still haven't pooped been eating a little more, had part of a chocolate shake some chili fries not much and quit, My left side skin level still painful when you touch it hurts.yesterday for Dinner had couple bites chicken and greens with XXXXXXX hair pasta and quit drank water, didn't poop This dicycomine Mephan. imic acid? What's this stuff in plain terms.todays got me hurting a bit now and getting worse so anti gas med is going to be taking now and see what happens
outs starting to hurt shit. also what is omeprazole along with it wish we could talk now,I fucked up had some choclate shake too its hurting good 0000 if you got time

Answered by Dr. Sunil (9 hours later)

Brief Answer:
Follow up.

Detailed Answer:

Hello,

Whenever there is problem with digestion of food severe constipation there is some inflammation in intestinal tract this inflammation is responsible for pain when intestines contracts and relax for persistalysis. The pain associated with it is called spasmodic pain. To take care of spasm antispasmodic is given while for pain anti inflammatory is given.
For constipation you should take Miralax again.

* Don't have meat and fries etc.
* Take simple easily digestible food.
* Take probiotics along with it.
* Avoid taking shakes and all.
* Take home-cooked, unprocessed simple food.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sunil
Gastroenterologist

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Sunil (28 hours later)

Well been eating small amonts of food, 1 cup of coffee in the mourning,Still haven't pooped yet hoping today.You've been a life saver . My Dr is suppose to be showing up in the coming days,tic tic tic we'll see. Thanks a bunch been feeling a bunch better Thanks again I give you 10 stars

Answered by Dr. Sunil (3 hours later)

Brief Answer:
Follow up.

Detailed Answer:

Hi,

Really glad to hear that you are feeling better now.

Happy for you! Get well soon.

Thanks and regards,
Dr. Sunil
Gastroenterologist

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Above answer was peer-reviewed by : Dr. Prasad